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Appendix <br />ATTACIM(NT 3-2: NON -LOBBYING CERTIFICATION <br />CERTITICATION$ <br />no prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her <br />knowledge and belief, that: <br />1. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to <br />any person for influencing or attempting to influence an officer or employee of any federal agency, a <br />Member of Congress, an offlcor or employee of Congress, or an employee of a Member of Congress <br />in connection with the awarding of any federal contract, the making of any federal grant, the making <br />of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, <br />renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. <br />2. if any funds other than federal appropriated funds have been paid or will be paid to any person for <br />influencing or attempting to influence any officer or employee of any federal agency, it Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in <br />connection with this federal contract, grant loan, loan or cooperative agreement, the undersigned <br />shall complete and submit a "Disclosure of Lobbying Activities". <br />This cadifloation Is a material representation of fact upon which ralionco was placed when this transaction was made <br />or entered into. Submission ofihis certification Is a prerequisite for making or entering Into this transactlon imposed <br />by Section 1352, Title 31, U.S. Code. Any person who fails to file tho required certification shall be subjeot to n oiv0 <br />penalty of not less than $10,000 and not mora than $100,000 for each such failure. <br />Thu prospective participant also agrees by submitting his or bet bid or proposal that he or she shall require that the <br />language of this certification be included In all lower tier subcontracts, which exceed $100,000 and that all such sub <br />recipients shall Bort* and disclose accordingly. <br />Firm �gc,4 <br />Signed and Printed Name: <br />Titled wi, ?r a-)Lve_ ` rsc nc- <br />Data. <br />City of &ants Ana RFP <br />Page A3-2 <br />